Individual
LISA MICHELLE GEBHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 948-3111
Mailing address
7196 LAKE VISTA DR SW, APT 2A, BYRON CENTER, MI 49315-9041
(616) 723-5871
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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